SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES (NPI# 1609085984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609085984 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | SJC-MHS ADOLESCENT DAY SERVICES |
| Practice Address |
6776 Alexandria Pl Stockton CA 95207-3407 |
| Mailing Address |
1212 N California St Stockton CA 95202-1552 |
| Practice Telephone | 2094688778 |
| Practice Fax Number | 2094682399 |
| Mailing Telephone | 2094688778 |
| Mailing Fax Number | 2094682399 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-06-14 |
| Authorized Official Name | VIC SINGH (DIRECTOR-BEHAVIORAL HEALTH SERV) |
| Authorized Official Telephone | 2094682082 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 9000 | 05 |
| Other Name | Type Code |
|---|---|
| SJC-MHS Adolescent Day Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1215214069 | San Joaquin County Behavioral Health Services | Clinic/Center | 24 S Hunter St, Stockton, CA 95202-3231 | 2011-11-08 |
| 1548478142 | San Joaquin County Behavioral Health Services | Clinic/Center | 6861 Mary Graham Lane, French Camp, CA 95231 | 2007-05-18 |
| 1376750232 | San Joaquin County Behavioral Health Services | Clinic/Center | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2007-05-17 |
| 1710193537 | San Joaquin County Behavioral Health Services | Clinic/Center | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2007-05-16 |
| 1306051370 | San Joaquin County Behavioral Health Services | Clinic/Center | 220 W 11th St, Tracy, CA 95376-3944 | 2007-05-13 |
| 1497968184 | San Joaquin County Behavioral Health Services | Substance Abuse Rehabilitation Facility | 500 W. Hospital Road, French Camp, CA 95231 | 2007-05-08 |
| 1598232456 | San Joaquin County Behavioral Health Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-10-30 |
| 1598284366 | San Joaquin County Behavioral Health Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2017-09-13 |
| 1740711902 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N California St, Stockton, CA 95202-1552 | 2017-03-21 |
| Street Address |
6776 ALEXANDRIA PL |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881241776 | Delta Center Family Therapy Inc | Clinic/Center | 343 E Main St Ste 701, Stockton, CA 95202-2977 | 2019-08-24 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1982071502 | Telecare Corporation | Clinic/Center | 4545 Georgetown Place, Suite A3, Stockton, CA 95207-6228 | 2015-08-31 |
| 1215214069 | San Joaquin County Behavioral Health Services | Clinic/Center | 24 S Hunter St, Stockton, CA 95202-3231 | 2011-11-08 |
| 1740584218 | Nathaniel Scott | Clinic/Center | 234 E Fremont St, Stockton, CA 95202-2016 | 2010-12-27 |
| 1669099743 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2020-07-06 |
| 1730706813 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste A3, Stockton, CA 95207-6228 | 2020-07-06 |
| 1518526359 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl, Suite D and E-28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1043781354 | San Joaquin County Behavioral Heatlh Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-12-12 |
| 1598232456 | San Joaquin County Behavioral Health Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-10-30 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.